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Nowadays, upper eyelid blepharoplasty is one of the most commonly practiced aesthetic
operations. Different from double-fold operations mainly performed in teenagers or early twenties,
the upper eyelid blepharoplasty is mainly performed in aged persons for rejuvenation by resecting an
excess of skin, muscle and fat around the periorbita to enhance the eyebrow decent by sub-brow
resection due to drooping of the lateral eyebrow. In addition, the upper eyelid blepharoplasty in aged
persons who are often accompanied with the blepharoptosis caused by dehiscence or stretching of
the aponeurosis itself to the tarsus and by non-delivery of contractile power to upper eyelid needs
tucking of the levator aponeurosis and suturing the reversed septum to orbicularis oculi muscle to the
inferior flap. (J Korean Soc Aesthetic Plast Surg 16: 64, 2010)
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